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am <br />. ........... <br />. . . ............ . .. . .... <br />M I N04 <br />Type IN EjL.ACX INK USiNG 1) OR, 12 CHARACTERS PE <br />00 NOT PHOTO REDUCE <br />O THE SPACE PROVIDED <br />LIMIT ALL NAIRRATIVE T <br />METROPOLITAN CO,UN,CIL POLIYAN AREA <br />REGIONAL ARTS C'O,U�NCIL FOR THE SEVEN,-COUNTY METRO <br />AVT I S SPOlNSOR ASSISTANCE GRANT APPLICATION <br />Applicant (name, address, vp code) <br />RoSeville Parks and, Recreation <br />1114 woodhi.]11 Drive <br />s %0 7 5 �, j <br />1 J <br />Rosevi a l., I \6LN a <br />T 490- 7-7810 <br />.7,hone Number <br />P <br />2., Prol'ect, Director (name. Iadcress. zip code) <br />Rick, Schult., <br />1114 Woodhill Drive Asp <br />Ro,s e v i le <br />Day Phon�e Number 400- `7 <br />8 <br />Evening Phone Number 6 4 -/v -1 93 8 1 <br />I a. check one: <br />Sponsor Assistance <br />I X, Presenter Assistance <br />Fis4cial Agent (contact person. addre5s. vo cace. <br />telephone number. fiscal agent organization.) <br />4 <br />Complece oniv it"your organizvion has not vec <br />received its tax-exempt status and you are apc'v* <br />under the auspices of another tax-exempt <br />organization. <br />FOR OFFICEW USE: ONLY <br />Oate Received j:/_-51DXJ <br />6 if j <br />Application No. _r APP -AD <br />I P dt <br />anel, Recommendation <br />Amiount Awarded <br />w Siources: 5tats 5 <br />Other 5 .... mmmm- <br />"1 *tr0ql0jjj4n Council Rewicipall Arts CJu81C11, %40ATI IPA -Irk Ctntro. 230 1. fihtl 54re*t. it. Phil. %As 33 101 toil, 14621-4;03 <br />7 W <br />